Individual provider Active NPI

Jesus A Reales, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1679556740
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME91306 Issued in FL
Practice address
1005 E 4TH Ave
Hialeah, FL 33010-4103
Phone
(305) 888-8160
Fax
(305) 888-8165
NPI assigned
Nov 22, 2005
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME91306 FL Primary

Addresses

Primary practice location

1005 E 4TH Ave
Hialeah, FL 33010-4103

Mailing address

1005 E 4TH Ave
Hialeah, FL 33010-4103
Phone (305) 888-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000703 FL Practitioner - General Practice 9830159649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91306FLMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Context Medical Group, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Comprehensive Community Guidance Center Inc Past Accepting new patients
Medivital Health Center LLC PastSince Apr 27, 2025 Accepting new patients
The Professional Re-Hab Center Past Accepting new patients
Family Care Medical Center II Inc Past Accepting new patients
D and Y Medical & Rehabilitation Center Inc. Past Accepting new patients
St. John Clinic Medical Center Past Accepting new patients
Health Medical Systems Inc Past Accepting new patients
Primary Medical Care Inc Past Accepting new patients

Locations

10550 NW 77th Ct
Ste 305
Hialeah Gardens, FL 33016
Phone (305) 826-3072

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1679556740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-888-8160",
            "fax_number": "305-888-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-888-8160",
            "fax_number": "305-888-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALES",
        "first_name": "JESUS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME91306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.